Feng F, Wang JG, Li C, Qiu ZC, An Y, Ren ZT, Chen JF, Gong L, Peng JR. Albumin as a predictor in a nomogram for severe complications following gastrointestinal surgery and how to manage it. World J Gastrointest Surg 2026; 18(7): 119151 [DOI: 10.4240/wjgs.v18.i7.119151]
Corresponding Author of This Article
Ji-Run Peng, MD, Professor, Department of Hepatobiliary and Pancreatic Surgery, Beijing Shijitan Hospital, Capital Medical University, Tieyi Road, Haidian District, Beijing 100038, China. pengjr@medmail.com.cn
Research Domain of This Article
Gastroenterology & Hepatology
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research-article
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Feng F, Wang JG, Li C, Qiu ZC, An Y, Ren ZT, Chen JF, Gong L, Peng JR. Albumin as a predictor in a nomogram for severe complications following gastrointestinal surgery and how to manage it. World J Gastrointest Surg 2026; 18(7): 119151 [DOI: 10.4240/wjgs.v18.i7.119151]
World J Gastrointest Surg. Jul 27, 2026; 18(7): 119151 Published online Jul 27, 2026. doi: 10.4240/wjgs.v18.i7.119151
Albumin as a predictor in a nomogram for severe complications following gastrointestinal surgery and how to manage it
Feng Feng, Jiu-Gong Wang, Chen Li, Zi-Chao Qiu, Yuan An, Zhe-Tan Ren, Jian-Fei Chen, Lei Gong, Ji-Run Peng
Feng Feng, Jiu-Gong Wang, Chen Li, Zi-Chao Qiu, Yuan An, Zhe-Tan Ren, Jian-Fei Chen, Lei Gong, Ji-Run Peng, Department of Hepatobiliary and Pancreatic Surgery, Beijing Shijitan Hospital, Capital Medical University, Beijing 100038, China
Co-first authors: Feng Feng and Jiu-Gong Wang.
Author contributions: Feng F and Wang JG played important roles in the experimental design; Feng F, Wang JG and Li C prepared and edited the manuscript; Feng F and Li C analyzed and interpreted the data; Wand JG and An Y collected the data; Qiu ZC and Ren ZT conducted a literature search of clinical studies; Gong L and Chen JF defined the intellectual content; Gong L and Peng JR designed the research study; Peng JR reviewed the manuscript; All authors have read and approved the final manuscript.
Supported by National Natural Science Foundation of China, No. 82372796; and China Railway Group Limited Science and Technology Research and Development Plan, No. J2022Z615.
Institutional review board statement: The study was approved by the Ethics Committees of Beijing Shijitan Hospital (No. IIT2025-055-002).
Informed consent statement: All participants provided informed consent.
Conflict-of-interest statement: The authors have no conflicts of interest to declare.
Data sharing statement: Dataset available from the first author at fengfeng960914@163.com. Participants gave informed consent for data sharing.
Corresponding author: Ji-Run Peng, MD, Professor, Department of Hepatobiliary and Pancreatic Surgery, Beijing Shijitan Hospital, Capital Medical University, Tieyi Road, Haidian District, Beijing 100038, China. pengjr@medmail.com.cn
Received: January 23, 2026 Revised: February 7, 2026 Accepted: March 17, 2026 Published online: July 27, 2026 Processing time: 188 Days and 21.4 Hours
Core Tip
Core Tip: Serum albumin (ALB) is valuable for reducing the occurrence of severe complications during the perioperative period and for postoperative recovery in patients who undergo gastrointestinal surgery. This study developed a nomogram based on four clinical characteristics, which may be valuable for predicting the risk of severe postoperative complications and could conveniently provide surgeons with early decision-making and timely interventions for high-risk patients. Additionally, compared to those with relatively low peak postoperative serum ALB concentrations, patients with relatively high postoperative serum ALB concentrations had a significantly lower incidence of severe complications. This study provides a valuable reference for perioperative ALB usage.
